Individual provider Active NPI

Kamaria Rashida Burke

  • Dental Hygienist
  • Novi, MI
National Provider Identifier
1013751262
Registry record updated Jun 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
2902018407 Issued in MI
Practice address
42450 W 12 Mile Rd Ste 200
Novi, MI 48377-3011
Phone
(248) 348-8808
NPI assigned
Jun 22, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 2902018407 MI Primary

Addresses

Primary practice location

42450 W 12 Mile Rd Ste 200
Novi, MI 48377-3011

Mailing address

6600 Inkster Rd
West Bloomfield, MI 48322-4303
Phone (313) 662-8357

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2902018407MIMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Family Dental CurrentSince Nov 7, 2025 Accepting new patients
Advanced Dental Concepts P.C. PastSince Jun 23, 2024 Accepting new patients

Locations

42450 W Twelve Mile Rd
Ste 200
Novi, MI 48377
Phone (248) 348-8808

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1719014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719014400000",
    "number": "1013751262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 INKSTER RD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224303",
            "telephone_number": "313-662-8357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42450 W 12 MILE RD STE 200",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483773011",
            "telephone_number": "248-348-8808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "KAMARIA",
        "middle_name": "RASHIDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-22",
        "last_updated": "2024-06-22",
        "certification_date": "2024-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MI",
            "license": "2902018407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.